Bmj Usa: Letter


BMJ 2003; 327 doi: (Published 19 November 2003) Cite this as: BMJ 2003;327:E192

From BMJ USA 2003;Feb:82

Following are edited excerpts from Rapid Responses generated by this article, which can be read in their entirety at—Editor

Headline not justified

  1. C S Ripley, radiologist (
  1. Dundee, UK
  2. Southmead Hospital, Bristol, UK
  3. Antwerp, Belgium
  4. University of Aberdeen, Aberdeen, UK

    EDITOR—This study does not justify the headline “Early CT improves diagnosis in abdominal pain” [This week in the BMJ. BMJ, December 14, 2002] when there was no statistically significant difference at 24 hours between the two groups in terms of accuracy of diagnoses. Furthermore, the length of stay was not reduced by a statistically significant degree and there was no statistically significant change in the number of operations.

    It is claimed “Early computed tomography did, however, identify significantly more of the serious diagnoses than standard practice, and it …

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